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Individual
MR. MARK REEVES
Active
Individual
MR. MARK REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005376
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11527184
CAQH
VA
01
—
189443
ANTHEM BC/BS
VA
01
—
373218
MHN
VA
01
—
3857
CAREFIRST BC/BS
VA
01
—
490906
VALUE OPTIONS
VA
01
—
7139727
AETNA
VA
01
—
9422100
PHCS
VA
Enumeration date
08/16/2006
Last updated
07/09/2007
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